Active NPI
Dena Ann Lenser, MD
- Pediatrics Physician
- Modesto, CA
National Provider Identifier
1245201599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G83542
- Practice address
- 3109 Coffee Rd
Ste a
Modesto, CA 95355-1766 - Phone
- (209) 522-0001
- Fax
- (209) 549-7077
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G83542 | CA | Primary |
Addresses
Primary practice location
3109 Coffee Rd
Ste a
Modesto, CA 95355-1766
Mailing address
PO Box 578202
Modesto, CA 95357-8202
Phone (209) 522-0001
Other practice location 1
1300 Sylvan Ave Ste C7
Modesto, CA 95355-1350
Phone (209) 225-9044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G835420 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G83542 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenser & Brush Pediatrics Inc a Professional Medical Corporation | Pediatrics | Current | Accepting new patients |
| Modesto Pediatrics | Pediatrics | Past | Accepting new patients |
Locations
3109 Coffee Rd
Ste A
Modesto, CA 95355
Phone (209) 522-0001
1300 Sylvan Ave
Ste C7
Modesto, CA 95355
Phone (209) 225-9044
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Modesto, CA
- NPI 1780221044
Pediatrics
-
- Pediatrics Physician
- Modesto, CA
- NPI 1366547796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1245201599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 578202",
"city": "MODESTO",
"state": "CA",
"postal_code": "953578202",
"telephone_number": "209-522-0001",
"fax_number": "209-549-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 COFFEE RD",
"address_2": "STE A",
"city": "MODESTO",
"state": "CA",
"postal_code": "953551766",
"telephone_number": "209-522-0001",
"fax_number": "209-549-7077"
}
],
"practiceLocations": [
{
"address_1": "1300 Sylvan Ave Ste C7",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953551350",
"country_code": "US",
"telephone_number": "209-225-9044",
"fax_number": "800-877-6911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LENSER",
"first_name": "DENA",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G83542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G835420",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.